Individual
AMANDA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(718) 889-6006
Mailing address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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